Prevalence of HIV and Sexually Transmitted Infections and associated risk factors in female sex workers in Escuintla, Guatemala.
DOI:
https://doi.org/10.54495/Rev.Cientifica.v20i1.145Keywords:
sexual transmitted infection, HIV, females sex workers, risk factors, GuatemalaAbstract
To determine the prevalence oh HIV and other sexually transmitted infections (STI) in Escnintla. Guatemala, as well as identifying associated risk factors to aquirc STI among female sex workers (FSW), between June 2009 and February 2010.
We recruited 612 FSW with a median age of 26 years, attended in STI clinics located in public primary care centers in Escnintla. The participants were interviewed about sociodemographic characteristics and risk behaviors. Oropharingeal, gynaccologic and blood samples were taken to assess STI/HIV. To identify risk factors, to have at least one STI/HIV, we constructed a multivariable model and included all the significant variables associated with the outcome in the bivariable analysis and other clinically relevant variables.
The estimated HIV prevalence was 2.2%, syphilis 4.8%, Chlamydia 5.6%. trichomoniasis 9.5%. cervical gonococcal 0.9% and oropharyngeal gonococcal 0%. In multivariable analysis, a greater followup time in the six month screening visits STI clinics, as well as the practice of oral genital sex with steady partners suggested to be protective factors in presenting at least one STI (20.7% of FSW). The practice of vaginal douching and cervical alteration during physical examinations were considered risk factors.
HIV/ST1 prevalence among FSW was substantially high, except for gonococcus, which might reflect a low level of circulating bacteria as well as its susceptibility to the current antimicrobial treatment. In order to decrease the risk of infections, it is necessary to promote adherence to regular H1V/ST1 screening and include vaginal hygiene in prevention messages addressing FSW.
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References
Ahoyo AB, Alary M, Ndour M (2009). HIV and sexually transmitted disease among female sex workers in Benin, Med Trop (Mars), 69, 457-462.
Alexander S (2009). The challenges of detecting gonorrhea and Chlamydia in rectal and pharyngeal sites: could we, should we. be doing more? Sex Transm Inf, 85:159-160, https://doi.org/10.1136/sti.2008.035469 DOI: https://doi.org/10.1136/sti.2008.035469
Arribas M (2004). Diseño y validación de cuestionarios. Matronas Profesión, 5,23-29.
Bautista CT. Sanchez JL, Montano SM (2006). Seroprevalence of and risk factors for HIV-1 infection among female comercial sex workers in South America. Sex Transm Infect, 82, 311-316, https://doi.org/10.1136/sti.2005.018234 DOI: https://doi.org/10.1136/sti.2005.018234
Boily MC, Lowndes C, Alary M (2002). The impact of HIV epidemic phases on the effectiveness of core group interventions: insights from mathematical models. Sex Transm Infect, 78, 78-90, https://doi.org/10.1136/sti.78.suppl_1.i78 DOI: https://doi.org/10.1136/sti.78.suppl_1.i78
Center for diseases control and prevention. Clinical Laboratory Definition for Neisseria gonorrhoeae. Disponible en: Fecha de Acceso: Noviembre 20, 2008.
Centro Nacional de Epidemiología (CNE). Programa Nacional de Prevención y Control de ITS, VIH y Sida de Guatemala. Estadisticas de casos acumulados notificados VIII y Sida Enero 1984-Octubre 2009. Disponible en: Fecha de Acceso: Mayo 10, 2010.
Cohen CR. Duerr A, Pruithithada N , Rugpao S, Hillier S, Garcia P. Nelson K (1995). Bacterial vaginosis and HIV seroprevalence among female comercial sex workers in Chiang Mai, Thailand AIDS, 9:1093-1097, https://doi.org/10.1097/00002030-199509000-00017 DOI: https://doi.org/10.1097/00002030-199509000-00017
Cwikel JG, Lazcr T, Press F, Lazer S (2008). Sexually transmissible infections among female sex workers: an international review with an emphasis on hard-to-access populations. Sex Health, 5, 9-16. DOI: https://doi.org/10.1071/SH07024
Davies SC, Otto B. Parlohudoyo S, Chrisnadarmani VA, Neilsen GA, Ciaffi L, Patten J. Samson ET. Sutama IN (2003). Sexually transmitted infections among female sex workers in Kupang, Indonesia: searching for a screening algorithm to detect cervical gonococcal and chlamydial infections. Sex Transm Dis, 30,671-679, https://doi.org/10.1097/01.OLQ.0000075850.22166.DB DOI: https://doi.org/10.1097/01.OLQ.0000075850.22166.DB
Fernández L, Sabido M, Figuerola J. The introduction of HIV Rapid test in a voluntary screening HIV sendee in Escuintla. Guatemala. Presentado en: XII International AIDS Conference 2008, México.
Fonck K, Kaul R, Keli F (2001). Sexually transmitted infections and vaginal douching in a population of female sex workers in Nairobi, Kenya. Sex Transm Infect, 77,271-275, https://doi.org/10.1136/sti.77.4.271 DOI: https://doi.org/10.1136/sti.77.4.271
Friedman SR, Neaigus A, Jose B, Curtis R, Goldstein M, Ildefonso G, Rothenberg RB, Des Jaríais DC (1997). Sociometric risk networks and risk for HIV infection. Am J Public Health, 87,1289-1296, https://doi.org/10.2105/AJPH.87.8.1289 DOI: https://doi.org/10.2105/AJPH.87.8.1289
Harijaona V, Ramambason JD, Morisset R (2009). Prevalence of and risk factors for sexually-transmitted infections in hidden female sex workers. Med Mal Infect, 39:909-913, https://doi.org/10.1016/j.medmal.2009.01.007 DOI: https://doi.org/10.1016/j.medmal.2009.01.007
Holmes K, Sparling P, Stamm W, Mardh P, Lemon S, Piot P. Wasscrheit J (2008). Sexually transmitted diseases. 4a . Ed. EE. UU. McGraw-Hill .
Holmes KK. Levine R, Weaver M (2004). Effectiveness of condoms in preventing sexually transmitted infections. Bull World Health Organ, 82, 454-461.
Hobbs M, Seña A, Swygard H. Trichomonas vaginalis and Trichomoniasis (2008). En: Holmes K, Sparling P, Stamm W. cl al. Sexually Transmitted Diseases. 4a. Ed. EE.UU. McGraw-Hill. 771-787.
Instituto Nacional de Estadística de Guatemala (TNE). Estimación de la población total para el periodo 2010 (al 30 de junio), según censo 2002, Disponible en : Fecha de Acceso : Mayo 10, 2010.
Kerrigan D, Moreno L. Rosario S, Gomez B. Jerez H, Barrington C, Weiss E, Sweat M , (2006) Environmental-structural interventions to reduce HIV/STI risk among female sex workers in the Dominican Republic. Am J Public Health, 96,120-125, https://doi.org/10.2105/AJPH.2004.042200 DOI: https://doi.org/10.2105/AJPH.2004.042200
Lafferty W, Hughes JP, Hadesficld HH (1997). Sexually Transmitted diseases in men who have sex with men: Acquisition of gonorrhea and nongonococcal urethritis by fellatio and implications for STD HIV prevention. Sex Transm Dis, 24, 272-278, https://doi.org/10.1097/00007435-199705000-00007 DOI: https://doi.org/10.1097/00007435-199705000-00007
Lau JT, Zhang J, Zhang L (2007). Comparing prevalence of condom use among 15,379 female sex workers injecting or not injecting drugs in China. Sex Transm Dis, 34, 908-916, https://doi.org/10.1097/OLQ.0b013e3180e904b4 DOI: https://doi.org/10.1097/OLQ.0b013e3180e904b4
Li Y, Detels R, Lin P, Fu X, Dong Z, Liu Y, Tan Y, Li J, Wu Z (2010). Prevalence of HIV and STIs and associated risk factors among female sex workers in Guangdong province, China. J Acquir Immune Defic Syndr 53, 48-53, https://doi.org/10.1097/QAI.0b013e3181c7d72f DOI: https://doi.org/10.1097/QAI.0b013e3181c7d72f
Linhart Y, Shohat T, Amitai Z, Gefen D, Srugo I, Blumstein G, Dan M. (2008), Sexually transmitted infections among brothel-based sex workers in Tel-Aviv area, Israel: high prevalence of pharyngeal gonorrhoea. Int J STD AIDS, 19,656-659, https://doi.org/10.1258/ijsa.2008.008127 DOI: https://doi.org/10.1258/ijsa.2008.008127
Magnani R , Rio no P, Nurhayati, Saputro E , Mustikawati D, Anartati A, Prabawanti C, Majid N, Morincau G (2010). Sexual risk behaviours. HIV and other sexually transmitted infections among female sex workers in Indonesia. Sex Transm Infect. Sex Transm Infect. 86, 393-399, https://doi.org/10.1136/sti.2009.038059 DOI: https://doi.org/10.1136/sti.2009.038059
Martin A, Francis S, Chcrsich M, Scott P, Redmond S, Bender N, Miotti P, Temmerman M, Low N (2010). Intravaginal Practices, Vaginal Infections and HIV Acquisition: Systematic Review and Meta Analysis. Pios One. 5,1-11, https://doi.org/10.1371/journal.pone.0009119 DOI: https://doi.org/10.1371/journal.pone.0009119
Martino JL, Vcrmund SH (2002). Vaginal douching: evidence for risks or benefits to women’s health. Epidemiol Rev, 24:109-124, https://doi.org/10.1093/epirev/mxf004 DOI: https://doi.org/10.1093/epirev/mxf004
McClelland RS, Lavreys L, Hassan WM (2006). Vaginal washing and increased risk of HIV- 1 acquisition among African women: a 10-year prospective study. AIDS, 20, 269-273, https://doi.org/10.1097/01.aids.0000196165.48518.7b DOI: https://doi.org/10.1097/01.aids.0000196165.48518.7b
Potterat JJ, Rothenberg RB. Muth SQ (1999). Network structural dynamics and infectious disease propagation. Int J STD AIDS, 10,182-185, https://doi.org/10.1258/0956462991913853 DOI: https://doi.org/10.1258/0956462991913853
Reyes B, Rivera L, Cruz A. Hernández CA (2005). Prevalence of sexually transmitted infections and associated risk factors among female comercial sex workers in Cuantía, Morelos. Ginecol Obstet Mex, 73,36-47.
Reza-Paul S, Beattie T, Syed HU, Venukumart KT, Venugopal MS, Fathima MP, Raghavendra HR, Akram P. Manjula R, Lakshmi M, Isac S, Ramesh BM. Washington R, Mahagaonkar SB, Glynn JR, Blanchard JF, Moses S. (2008). Declines in risk behaviour and sexually transmitted infection prevalence following a community-led HIV preventive intervention among female sex workers in Mysore. India. Aids, 22. 91 -100, https://doi.org/10.1097/01.aids.0000343767.08197.18 DOI: https://doi.org/10.1097/01.aids.0000343767.08197.18
Rugpao S, Rungruengthanakit K, Werawatanakul Y (2010). Risk factors and algorithms for chlamydial and gonococcal cervical infections in women attending family planning clinics in Thailand. J Obstet Gynaecol Res, 36: 147-1 53, https://doi.org/10.1111/j.1447-0756.2009.01105.x DOI: https://doi.org/10.1111/j.1447-0756.2009.01105.x
Sabidó M, Giardina F, Hernandez G, Fernández VH, Monzon JE, Ortiz R, MonoliuA, Casabona J (2009). The UALE Project: Decline in the incidence of HIV and sexually transmitted infections and increase in the use of condoms among sex workers in Guatemala. J Acquir Immune Defic Syndr, 51,35-41, https://doi.org/10.1097/QAI.0b013e3181a2656f DOI: https://doi.org/10.1097/QAI.0b013e3181a2656f
Sabidó M. Lahuerta M, Montoliu A, Gonzalez V, Hernández G, Giardina F, Monzón J, Casabona J. Pedroza M (2011). HIV, Sexually Transmitted Infections, and Risk Behaviors among Clients of Sex Workers in Guatemala: are the) a bridge in HIV transmission? Sex Transm Dis. Ahead of print, https://doi.org/10.1097/OLQ.0b013e31821596b5 DOI: https://doi.org/10.1097/OLQ.0b013e31821596b5
Soto RJ. Ghee AH. Nunez CA. Mayorga R, Tapia KA : Astcte SG. Hughes JP. Buffardi AL. Holte SE, Holmes KK (2007). Sentinel surveillance of sexually transmitted infections/HIV and risk behaviors vulnerable populations in 5 Central American countries. J Acquit Immune Defic Syndr. 46. 101-111, https://doi.org/10.1097/QAI.0b013e318141f913 DOI: https://doi.org/10.1097/QAI.0b013e318141f913
Steen R. Dallabetta G (2003). Sexually transmitted infection control with sex workers: regular screening and presumptive treatment augment efforts to reduce risk and vulnerability. Reprod Health Matters. 11, 74-90, https://doi.org/10.1016/S0968-8080(03)02295-X DOI: https://doi.org/10.1016/S0968-8080(03)02295-X
Tran TN, Detels R, Long HT, Van Phung L. Lan HP (2005). HIV Infection and risk characteristics among female sex workers in Hanoi, Vietnam. J. Acquit Immune Defic Syndr. 39, 581-586.
UNAIDS/ WHO AIDS Epidemic Update: December (2007). Geneva, Switzerland: UNAIDS; (UNAIDS/07.27E). Disponible en : data.unaids.org/pub/EPlSlides2007/2007_cpiupdate_en.pdf. Fecha de Acceso: Mayo 10, 2010.
Ulibarri MD, Strathdee SA, Patterson TL (2010). Sexual and drug use behaviors associated with HIV and other sexually transmitted infections among female sex workers in rhe Mexico-US border region. Curr Opin Psychiatry. [ahead of print], https://doi.org/10.1097/YCO.0b013e32833864d5 DOI: https://doi.org/10.1097/YCO.0b013e32833864d5
Urquía M (2005). Sobre el manejo sindrómico de infecciones de transmisión sexual. Rev Med Hondur, 73,104-105.
Wang B. Li X, Stanton B (2005). Vaginal douching, condom use, and sexually transmitted infections among Chinese female sex workers. Sex Transm Dis, 32,696-702, https://doi.org/10.1097/01.olq.0000175403.68410.ec DOI: https://doi.org/10.1097/01.olq.0000175403.68410.ec
Wong ML, Chan RK (1999). A prospective study of pharyngeal gonorrhoea and inconsistent condom use for oral sex among female brothel-based sex workers in Singapore. Int J STD AIDS, 10. 595-599, https://doi.org/10.1258/0956462991914726 DOI: https://doi.org/10.1258/0956462991914726
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Copyright (c) 2011 C. Alvarez, M. Sabidó, J. Monzón, G. Hernández, X. Vallés, J. Casabona
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